Provider Demographics
NPI:1487039376
Name:MICHEL, GABRIELLE (ACVREP #7631)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:MICHEL
Suffix:
Gender:F
Credentials:ACVREP #7631
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 SUNNYBROOK CIR S
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-6186
Mailing Address - Country:US
Mailing Address - Phone:386-843-5198
Mailing Address - Fax:
Practice Address - Street 1:109 SUNNYBROOK CIR S
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-6186
Practice Address - Country:US
Practice Address - Phone:386-843-5198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider